NPI Profile for KELLY D MOORES in COLUMBIA, ME.
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation Practitioner |
225400000X |
| NPI # | 1134507155 |
|
| Status | Active | |
| Credentials | M.S. | |
| Entity | Individual | |
| Enumeration date | 05/11/2015 | |
| Last updated | 05/11/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KELLY D MOORES
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